Clinical trial Recruiting at 1 site Interventional Ages 65 and up

Personalized exercise programs to lower dementia risk in older Veterans with Motoric Cognitive Risk

Official title: Motoric Cognitive Risk Syndrome: Refining Treatment Strategies and Testing Feasibility to Personalize Treatment for Older Veterans

Run by VA Office of Research and Development · NCT06451874 · Data updated 2026-11-12

This trial will try personalized exercise programs—functional power training, music-based walking, or both—to see if they help older Veterans with Motoric Cognitive Risk improve walking and thinking and lower dementia risk.

Quick facts

Study typeInterventional
Ages65 Years and up
SexAll
Enrollment54 (estimated)
SponsorVA Office of Research and Development
Federal
Locations1 site (Boston, Massachusetts)
StatusRecruiting
StartedJuly 1, 2025
Main results expectedMay 31, 2029
Study endsDecember 31, 2029
Registry record updatedJuly 2, 2026
Trial IDNCT06451874 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are English-speaking, community-dwelling Veterans age 65 or older who receive VA primary care and meet criteria for Motoric Cognitive Risk (slow gait speed plus subjective cognitive concerns).

Probably not a fit

Patients with a diagnosed dementia, major medical problems or recent major cardiac events or surgery, non-English speakers, or those with existing mobility disability are excluded and would not be expected to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study enrolls community-dwelling Veterans age 65 and older with Motoric Cognitive Risk (slow gait plus cognitive complaints) who receive VA primary care. Participants are randomized using a sequential multiple assignment randomized trial (SMART) design to receive functional power training, music-based digital walking therapy, or a combination, with treatment pathways adapted based on response. The study measures mobility and cognitive outcomes to identify which personalized exercise strategies work best for different patients. Successful completion will provide preliminary evidence to guide tailored rehabilitation approaches for older Veterans at risk for dementia.

Why it matters

Potential benefit: If successful, the interventions could improve gait speed and cognitive complaints and potentially reduce progression toward dementia through tailored exercise programs.

How similar studies have gone: Previous studies show that exercise and music-based gait training can improve mobility and some cognitive measures, but applying a SMART design to personalize treatments for MCR is a relatively novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age 65
2. Receiving VA primary care
3. Community-dwelling
4. Motoric Cognitive Risky Syndrome i. Slow gait speed ii. Subjective cognitive concerns/complaints

Exclusion Criteria:

1. Non-English speaking
2. Presence of a terminal disease
3. Major medical problem
4. Myocardial infarction or major surgery in the previous 3 months
5. 3-point walking pattern
6. Dementia diagnostic
7. Mobility disability

Where it's running

  • VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
    Boston, Massachusetts, United States
    Recruiting

Study contacts

  • Principal investigator: Elisa Ogawa, PhD MS BS — VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
  • Study coordinator: Elisa Ogawa, PhD MS BS
  • Email: elisa.ogawa@va.gov
  • Phone: (857) 364-4011

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.